Figure 1

The immune reconstitution inflammatory syndrome in a patient with human immunodeficiency virus and Mycobacterium tuberculosis coinfection. (A) Chest X-ray on admission. (B) Chest X-ray 3 weeks after initiation of antiretroviral therapy. (C) Computed tomography of chest showed a large lymphadenopathy in mediastinum (arrow). (D) Tc-99 m methylene diphosphonate whole body bone scan showed multiple increased radioactive lesions in the axial and appendicular skeleton. (E) The drained chylous left pleural effusion.